How to treat mild gout? Are there any contraindications to dietary treatment?

There is no specific medicine for the treatment of gout. Currently, most drugs used to treat gout are mainly for pain relief and cannot achieve a cure. Therefore, while relieving pain, we must pay attention to dissolving uric acid crystals and lowering uric acid to achieve good therapeutic effects. Dissolving uric acid crystals and lowering uric acid can be achieved through diet.

1: Control your total daily energy intake and eat less carbohydrates. Calculated based on ideal body weight in resting state, it usually does not exceed 25 to 30 kcal/kg per day. ② Reasonable distribution of the three major nutrients. Under the premise of limiting total calories, the distribution principle is: high carbohydrates, moderate protein, and low fat. Among them: Carbohydrates: including vegetables and fruits, should account for 65-70% of total calories. Protein: It should account for 11-15% of total calories. The protein supply for standard body weight is 0.8-1.0g/kg, mainly plant protein. Animal protein can be selected from milk and its products, egg protein, and try not to use meat, poultry, or fish. Fat: Usually 40-50g/d, the ratio of animal and plant fat is 1:1.5.

1: Limit protein intake and choose more milk, cheese, skimmed milk powder and eggs, which contain less purine. In addition, eat less sucrose and honey because they are high in fructose and will accelerate the production of uric acid. Among vegetables, young lentils, green beans, and fresh peas contain high levels of purine, so their consumption should also be limited.

1: Eat more alkaline foods, such as vegetables, potatoes, fruits, etc., which can reduce the acidity of blood and urine. Watermelon and wax gourd are not only alkaline foods, but also have diuretic effects, which are more beneficial for gout patients.

1: Alcohol has the effect of inhibiting the excretion of uric acid. Drinking small amounts of alcohol for a long time can also stimulate the increase in purine synthesis. Especially when eating meat and poultry while drinking, the purine intake will double.

1: Purine is a component in the cell nucleus. Any food that contains cells contains purine, and animal foods contain more purine. Avoid or abstain from eating high-purine foods such as animal offal, shrimp and crabs, thick broth, edible fungi, seaweed, anchovies, sardines, clams, beans and beer.

1: Chili, curry, pepper, Sichuan pepper, mustard, ginger and other spices can excite the autonomic nervous system and induce gout attacks, so they should be eaten as little as possible.

The products are metabolized and excreted in the urine. In particular, it can increase the pH value of blood and urine, neutralize, dissolve and excrete urate crystals deposited in joints and soft tissues.